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Boston Children’s Hospital
Boston, MA, United States
Job Summary This Revenue Integrity Specialist will be responsible for: Overseeing revenue cycle operations for Department with the goal of maximizing revenue by implementing recommended processes and functions in compliance of internal controls. Reviews charge activity work queues and releases charges from Epic to payers in compliance with Charg
Job Source: Boston Children’s HospitalBeth Israel Lahey Health
Boston, MA, United States
When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. Job Type: Regular Scheduled Hours: 40 Work Shift: Day (United States of America) The Revenue Integrity Billing Specialist role specializes in enrollment & revenue integrity issues relating to professional billing. This role is respon
Job Source: Beth Israel Lahey HealthDatadog
Boston, MA, United States
Datadog is the monitoring and security platform for cloud applications. Our SaaS product is used by organizations of all sizes across a wide range of industries to enable digital transformation, cloud migration, and infrastructure monitoring of our customers’ entire technology stack, allowing for seamless collaboration and problem-solving among Dev
Job Source: DatadogAcquia
Boston, MA, United States
Acquia is a leader in the digital experience platform (DXP) market, and the only truly Open DXP. Being an Open DXP is Acquia’s pledge to a brighter digital tomorrow. It's part of our mission to shape a digital future that is safe, accessible, and available to all users without restrictions. We provide the world's most ambitious brands with products
Job Source: AcquiaTalbots
Hingham, MA, United States
The Revenue Settlement Analyst attests to the accuracy and completeness of reported sales and ensures all forms of payment – cash, debit, credit, and alternative payment methods – are received, accounted for, and reconciled with Sales. The accountant is responsible for all brands; domestic and international; online and in-store transactions. The
Job Source: TalbotsDrift
Boston, MA, United States
About Drift Drift, the Conversation Cloud company, helps businesses connect with people at the right time, in the right place with the right conversation. Using the Drift Conversation Cloud, businesses can personalize experiences that lead to more quality pipeline, revenue and lifelong customers. Drift brings Conversational Marketing, Conversation
Job Source: DriftDatadog
Boston, MA, United States
Datadog is the monitoring and security platform for cloud applications. Our SaaS product is used by organizations of all sizes across a wide range of industries to enable digital transformation, cloud migration, and infrastructure monitoring of our customers' entire technology stack, allowing for seamless collaboration and problem-solving among Dev
Job Source: DatadogBeth Israel Lahey Health
Boston, MA, United States
**Job Type:** Regular **Time Type:** Full time **Work Shift:** Day (United States of America) **FLSA Status:** Exempt **When you join the growing BILH team, you're not just taking a job, youre making a difference in peoples lives.** **Job Type:** Regular **Scheduled Hours:** 40 **Work Shift:** Day (United States of America) Reporting
Job Source: Beth Israel Lahey HealthBoston, MA, United States
Thank you for your interest in careers at EBNHC!Everywhere you turn, you can feel it. There's an immeasurable level of enthusiasm at East Boston Neighborhood Health Center (EBNHC), one of the largest community health centers in the country. From the nurses and physicians on the front line of patient care, to the managers who shape our policies, to the customer service representatives who keep our facilities running smoothly - everyone here has a role in making medicine better.Interested in this position? Apply on-line and create a personal candidate account! Current Employees of EBNHC - Please use the internal careers portal to apply for positions.To learn more about working at EBNHC and our benefits, check out our Careers Page at careers.ebnhc.org. Time Type Full time Department Patient Accounts All Locations: East Boston Description EBNHC seeking an experienced Revenue Integrity Analyst for remote position! Under the direction of the Manager of Revenue Integrity and Payer Contracting, the Revenue Integrity Analyst will provide analytical support to proactively identify performance trends and propose solutions when needed. This will require an extensive background working with MS Office, with an emphasis on Excel and Presentation programs. The ideal candidate will be a self-starter with broad revenue cycle experience. A key responsibility of this role will be leading projects and assessments prioritized by department leadership. As part of ensuring operational integrity of the revenue cycle processes the position executes steps that support the maintenance and enhancement of all revenue cycle systems. Creates a positive, constructive, and supportive relationship between EBNHC departments, external partners, and personnel needed to resolve issues.Epic PB Resolute and medical billing experience is required for this position. Strong verbal and written communication skills are needed to be successful in this role.This position is a 100% remote work opportunity. Proof of residency is required in one of the following States (Massachusetts, New Hampshire, Ohio, Michigan, or Florida). Essential Duties And Responsibilities Communicate and coordinate resolution of identified issues with denials, payment variances and contract operations to leadership and other stakeholders.
Documents department workflow and assists periodic assessments to ensure efficient processes.
Tracks WQ performance to ensure timely processing of claims and proactive identification of billing issues.
Direct and participate in complex projects related to revenue cycle initiatives.
Intermediate analytical skills to evaluate information gathered from multiple sources and synthesize into actionable information
Leads reconciliation for a wide variety of projects. Plays key role in developing reconciliation policies.
Assists with charge master maintenance, including annual updates to ensure appropriate billings and maximization of revenue.
Performs random audits of standard reports and performance measures for all areas of responsibility.
Keeps self and staff abreast of any changes in state and federal government programs, as well as all other third party payers.
Provides feedback to assist EBNHC management in developing strategies to improve patient financial service operations.
Qualifications And Requirements Bachelor’s degree or equivalent experience required, Masters Preferred.
3+ years of healthcare experience required, including full scope revenue cycle, charge master, performance benchmarking
3+ years of Epic experience required (PB Resolute)
Knowledge of insurance reimbursement policies, payer contracting, operations and billing regulations
Experience working with Clinic and Physician leadership
Knowledge of health care industry trends
Knowledge of Revenue codes, CPT, and ICD-10 Coding
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Email Alert for Revenue Integrity Analyst jobs in Boston, MA, United States
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